Dean Robert Jacobs, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12570 Issued in SC

Practice address

115 Atrium Way Ste 120
Columbia, SC 29223-6382

Phone

(803) 788-2276

Fax

(803) 788-1022

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eau Claire Cooperative Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1346249430
  Medicare reassignment NPD
• Carolina Cataract Clinic

  dba Advantage Eye Care

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1285616037
  Authorized official Same address or phone
• Carolina Cataract Clinic

  • Ophthalmology Physician
  • Manning, SC
  • NPI 1346425303
  NPD (past) Authorized official
• Carolina Cataract Clinic

  • Ophthalmology Physician
  • Santee, SC
  • NPI 1407032295
  Authorized official Same address or phone
• Carolina Cataract Clinic

  • Specialist
  • Camden, SC
  • NPI 1477701431
  NPD (past) Authorized official
• Carolina Cataract Clinic

  • Ophthalmology Physician
  • Batesburg, SC
  • NPI 1497930440
  NPD (past) Authorized official
• Carolina Cataract Clinic

  • Ophthalmology Physician
  • Wagener, SC
  • NPI 1811173602
  NPD (past) Authorized official
• Carolina Cataract Clinic

  dba Advantage Eye Care

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1952598757
  Authorized official Same address or phone
• Eau Claire Cooperative Health Center ,Inc.

  dba Cooperative Health @ CAMH

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1588375653
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1427034040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23098",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243098",
            "telephone_number": "803-788-2276",
            "fax_number": "803-788-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ATRIUM WAY STE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236382",
            "telephone_number": "803-788-2276",
            "fax_number": "803-788-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DEAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "12570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125705",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinicia Renee Lavon Jackson, LPC
• Tushmbay Lateef Jackson
• Jacobs Perspective Community Care Services
• Jacobs Transportation Service LLC
• Alexis Jacobs
• Dylan Jacobs
• Hazel Jacobs, LCSW, LISW-CP
• Jeffrey Robert Jacobs, MD
• Joyce H Jacobs, RN WOCN
• Kimberley Denese Jacobs, BSN,RN

• Ophthalmology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.